QALYs in mental health: a case study

Wilkinson, Greg; Williams, Brian; Krekorian, H.; McLees, S.; Falloon, I.

Abstract

The applicability of the Charing Cross health indicator (CH-X) to the field of mental health was investigated in a community setting using descriptive statistics and principal components analysis. The CH-X is based on assessments of (i) distress and (ii) disability. Our results suggest that with respect to quality of life in mental health settings measurements of distress may be of greater importance than disability. In addition, the CH-X may be insensitive to variations in the severity of mental disorder and may primarily reflect physical disability as opposed to social disability. QALYs methodology may require the adoption of a multidimensional measure of health in order to fulfil its proposed role in comparing medical and mental health programmes.

• Journal Article Type: Article
• Online Publication Date: Jul 9, 2009
• Publication Date: 1992-08
• Deposit Date: Apr 16, 2018
• Journal: Psychological Medicine
• Print ISSN: 0033-2917
• Electronic ISSN: 1469-8978
• Publisher: Cambridge University Press
• Peer Reviewed: Peer Reviewed
• Volume: 22
• Issue: 3
• Pages: 725
• DOI: https://doi.org/10.1017/S0033291700038162
• Keywords: Applied Psychology; Psychiatry and Mental health
• Public URL: http://researchrepository.napier.ac.uk/Output/838077